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Monthly Archives: August 2015
The Impact of Goal Disturbance after Cancer on Cortisol Levels over Time and the Moderating Role of COMT.
Related Articles
The Impact of Goal Disturbance after Cancer on Cortisol Levels over Time and the Moderating Role of COMT.
PLoS One. 2015;10(8):e0135708
Authors: Janse M, Faassen MV, Kema I, Smink A, Ranchor AV, Fleer… Continue reading
Posted in PLoS One
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The Impact of Goal Disturbance after Cancer on Cortisol Levels over Time and the Moderating Role of COMT
Due to physical hindrance and time spent in hospital, a cancer diagnosis can lead to disturbance of personally important goals. Goal disturbance in cancer patients has been related to poorer psychological well-being. However, the relation with physiological measures is yet unknown. The purpose of the current study is to examine the impact of goal disturbance on cortisol as a measure of response to stress over time, and a possibly moderating role of a DNA genotype associated with HPA-axis… Continue reading
Tagged J. Fleer
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The Impact of Goal Disturbance after Cancer on Cortisol Levels over Time and the Moderating Role of COMT
Due to physical hindrance and time spent in hospital, a cancer diagnosis can lead to disturbance of personally important goals. Goal disturbance in cancer patients has been related to poorer psychological well-being. However, the relation with physiological measures is yet unknown. The purpose of the current study is to examine the impact of goal disturbance on cortisol as a measure of response to stress over time, and a possibly moderating role of a DNA genotype associated with HPA-axis… Continue reading
Tagged J. Fleer
Leave a comment
Which goal adjustment strategies do cancer patients use? A longitudinal study.
Which goal adjustment strategies do cancer patients use? A longitudinal study.
Psychooncology. 2015 Aug 26;
Authors: Janse M, Fleer J, Smink A, Sprangers MA, Ranchor AV
Abstract
OBJECTIVE: A cancer diagnosis may lead to the need to adjust personal goals. This study longitudinally investigates patients’ use of goal adjustment strategies with goal characteristics over time. Whether and which goal adjustment strategies are used after cancer diagnosis may depend on the period studied (treatment period or follow-up period) and illness variables such as illness severity.
METHODS: Newly diagnosed colorectal cancer patients (n = 186) were asked about their personal goals during three assessments (within 1 month after diagnosis and 6 and 18 months after the first assessment). Eight goal adjustment strategies were assessed over the first 6 months (treatment period) and between 7 and 18 months (follow-up period) using goal characteristics. Illness variables were obtained from patients’ medical records from the national cancer registry.
RESULTS: Most patients used one strategy per period, and patients most often shifted their priorities across life domains. During the treatment period, more patients formed shorter-term goals than during the follow-up period, while during the follow-up period, more patients formed longer-term goals than during the treatment period. Illness variables were not related to the use of goal adjustment strategies.
CONCLUSIONS: The findings show that cancer patients use different goal adjustment strategies and, interestingly, that the use of specific strategies depended on the period after diagnosis but not on illness variables. Copyright © 2015 John Wiley & Sons, Ltd.
PMID: 26308665 [PubMed – as supplied by publisher]
Posted in Psychooncology
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Which goal adjustment strategies do cancer patients use? A longitudinal study
CONCLUSIONS: The findings show that cancer patients use different goal adjustment strategies and, interestingly, that the use of specific strategies depended on the period after diagnosis but not on illness variables. Continue reading
Tagged J. Fleer
Leave a comment
Which goal adjustment strategies do cancer patients use? A longitudinal study
CONCLUSIONS: The findings show that cancer patients use different goal adjustment strategies and, interestingly, that the use of specific strategies depended on the period after diagnosis but not on illness variables. Continue reading
Tagged J. Fleer
Leave a comment
The Therapeutic Alliance Predicts Outcomes of Cognitive Behavior Therapy but Not of Mindfulness-Based Cognitive Therapy for Depressive Symptoms
No abstract Continue reading
Tagged J. Fleer
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The Therapeutic Alliance Predicts Outcomes of Cognitive Behavior Therapy but Not of Mindfulness-Based Cognitive Therapy for Depressive Symptoms
No abstract Continue reading
Tagged M.J. Schroevers
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Business Modeling to Implement an eHealth Portal for Infection Control: A Reflection on Co-Creation With Stakeholders.
Related Articles
Business Modeling to Implement an eHealth Portal for Infection Control: A Reflection on Co-Creation With Stakeholders.
JMIR Res Protoc. 2015;4(3):e104
Authors: van Limburg M, Wentzel J, Sanderman R, v… Continue reading
Providing care to a child with cancer: a longitudinal study on the course, predictors, and impact of caregiving stress during the first year after diagnosis.
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Related Articles |
Providing care to a child with cancer: a longitudinal study on the course, predictors, and impact of caregiving stress during the first year after diagnosis.
Psychooncology. 2015 Mar;24(3):318-24
Authors: Sulkers E, Tissing WJ, Brinksma A, Roodbol PF, Kamps WA, Stewart RE, Sanderman R, Fleer J
Abstract
OBJECTIVE: This study investigated the course, predictors, and impact of caregiving stress on the functioning of primary caregivers of children with cancer during the first year after a child’s cancer diagnosis.
METHODS: Primary caregivers (N = 95, 100% mother, 86% response rate) of consecutive newly diagnosed paediatric cancer patients (0-18 years) completed measures of caregiving stress, depressive symptoms, anxiety, and self-reported health at diagnosis, and 3, 6, and 12 months thereafter.
RESULTS: Results indicated a significant decrease in caregiving stress (especially during the first 3 months after diagnosis). Caregiving stress was predicted by single marital status and the ill child being the mother’s only child. Multilevel analyses, controlled for socio-demographic and medical covariates, showed that, over time, the decline in caregiving stress was accompanied by a reduction in depressive symptoms and anxiety. The amount of variance explained by caregiving stress was 53% for depressive symptoms, 47% for anxiety, and 3% for self-reported health.
CONCLUSIONS: The present study suggests that caregiving stress is an important factor in understanding parental adjustment to childhood cancer. This offers possibilities for developing interventions aimed at preventing caregiving stress, and strengthening mothers’ confidence in their ability to provide good care. Copyright © 2014 John Wiley & Sons, Ltd.
PMID: 25113320 [PubMed – indexed for MEDLINE]